Provider Demographics
NPI:1386313062
Name:STRANG, ALEXIS KAYE (NP)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:KAYE
Last Name:STRANG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10706 MARLBORO AVE
Mailing Address - Street 2:
Mailing Address - City:BARNWELL
Mailing Address - State:SC
Mailing Address - Zip Code:29812-6376
Mailing Address - Country:US
Mailing Address - Phone:803-259-7337
Mailing Address - Fax:803-259-9505
Practice Address - Street 1:10706 MARLBORO AVE
Practice Address - Street 2:
Practice Address - City:BARNWELL
Practice Address - State:SC
Practice Address - Zip Code:29812-6376
Practice Address - Country:US
Practice Address - Phone:803-259-7337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-07
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC23051363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics